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New Mexico rates for HCPCS 23900

Interthoracoscapular amputation (forequarter)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,095.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.31 / $1,400.25 / $4,957.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.16 / $1,998.25 / $2,541.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,171.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,332.11 / $1,690.15 / $3,400.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.58 / $2,064.85 / $3,405.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.00 / $15,131.00 / $21,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.19 / $2,011.44 / $3,095.99